Baycare Home Care, Inc.
Organization Active NPI Home Health Agency · Bradenton, FL
NPI 1295728186 · NPPES record last updated Jun 17, 2025
Key facts
- NPI
- 1295728186
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HHA299991698 (FL)
- Legal business name
- BAYCARE HOME CARE, INC.
- Practice address
- 4616 E State Road 64
Bradenton, FL 34208-9012 - Phone
- (941) 727-9880
- Fax
- (941) 727-0136
- NPI assigned
- Aug 25, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Timisi C Johnson, RN
- Title
- Director
- Phone
- (727) 470-4609
Owners & managing parties with NPI records 2
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 15
Affiliated clinicians 205
-
Ala Abuaita, MD
-
Ruben D Adriano, M.D.
-
Endri Afesllari, DPM
-
Preyanka Aggarwal, M.D.
-
Chadi Alkhalil, MD
-
Moriam O Ayo Amu, M.D.
-
Alexander Joseph Bajorek, M.D.
-
Robin A. Baker, M.D.
-
Matthew Bakos, D.O.
-
Robert Bala, MD
-
Travis Bernard, APRN
-
Zinkal Bhutwala, MD
-
Calvin C. Briles, D.O.
-
Diana A Burgueno Vega, M.D.
-
Rene Cajuste, MD
Medicare Care Compare: Home health agency
- Listed as
- Baycare Home Care Inc
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Non-Profit
- Certified
- Jun 15, 1989
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 107282
- Legal name
- BAYCARE HOME CARE, INC.
- Doing business as
- BAYCARE HOME CARE / LAKELAND REGIONAL HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 15, 1989
- Last certification
- Jun 30, 2017
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 10, 1976 in FL
- Enrollment address
- 20 Lake Wire Dr
Ste 230
Lakeland, FL 33815-1566
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Community Health Corporation |
5% Or Greater Direct Ownership Interest | Jul 1, 2011 | 5.9% |
| Nathan K Waldrep |
Corporate Director |
Mar 27, 2023 | |
| Lynda Gorken |
Corporate Director |
Jun 4, 2025 | |
| Jimmy Baumgartner |
Corporate Director |
Jul 10, 2024 | |
| Christopher Todd Jones |
Corporate Director |
Mar 27, 2023 | |
| Lance W Green |
Corporate Director |
Dec 1, 2021 | |
| Louis Galdieri |
Corporate Director | Mar 27, 2023 | |
| Carl Tremonti |
Corporate Director |
Mar 1, 2019 | |
| Baycare Health System, Inc. |
5% Or Greater Direct Ownership Interest | Dec 1, 2021 | 88.2% |
| Lakeland Regional Health Systems Inc |
5% Or Greater Direct Ownership Interest | Dec 1, 2021 | 5.9% |
| Timisi Johnson |
W-2 Managing Employee |
Dec 1, 2021 | |
| Jeffrey D Limbocker |
Corporate Director |
Mar 27, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120329000721 | FL | Part a Provider - Home Health Agency | 9032028725 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lakeland, FL; Bradenton, FL |
National Provider Directory
- Tax ID family
- Baycare Home Care Inc
Locations
4616 E State Road 64
Bradenton, FL 34208
Phone (727) 394-6432
Networks
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA299991698 | FL | Yes |
Addresses
Primary practice location
4616 E State Road 64
Bradenton, FL 34208-9012
Mailing address
8452 118TH Ave
Largo, FL 33773-5007
Phone (727) 394-6461
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650973801 | Medicaid | FL |
Other providers in Bradenton, FL
- Bay Area Physical Therapy LLC
- Bay Area Skin Cancer Surgery and Dermatology LLC
- Bay Pines Vamc
- Bayada Home Health Care, Inc.
- Areej Bayari
- Bayshore Rehabilitation, Inc.
- Bayview Medical LLC
- Joshua James Bazata
- Beacon Respiratory Services, Inc.
- Casey Bean
All providers in Bradenton, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.